You get your routine annual mammogram and, soon after, you receive a call or letter from your doctor’s office. You’re told that a potential abnormality was found on your mammogram and you need to make an appointment for further testing. Although it’s unnerving to get this news, experts say you shouldn’t panic.
"If you’re called back for additional mammogram views or a biopsy, it doesn’t necessarily mean you have cancer," says Sandhya Pruthi, MD, associate professor in the division of general internal medicine at Mayo Clinic in Rochester, Minn., and a breast health specialist. Pruthi also notes that although "the process of getting these additional tests can cause anxiety for some women, it’s short-lived -- in most cases, the work up can be done within two weeks."
More than 226,000 American women will be diagnosed with breast cancer in 2012. More than half of these women will have ductal carcinoma, a type of cancer that starts in the milk ducts of the breast.
There are two types of ductal carcinoma:
Ductal carcinoma in situ, which is also referred to as intraductal carcinoma
Invasive ductal carcinoma
According to the American Cancer Society, about 10% of women who have a mammogram will be called back for more tests. But only 8% to 10% of those women will need a biopsy and 80% of those biopsies turn out be benign.
To help you prepare for your follow up appointment, WebMD asked several doctors to describe the tests you may receive and to share their tips on making the process easier.
At Your Follow-Up Appointment
You’re likely to receive another mammogram (called a "diagnostic mammogram") and an ultrasound at your follow-up appointment, says Pruthi. The diagnostic mammogram might take longer than your routine screening mammogram did, because the technician may take more X-rays of the breast. He or she might, for example, magnify a specific area to get a more detailed picture or repeat the same views from the screening mammogram because those images weren’t clear enough.
Just as you did for the screening mammogram, you’ll need to undress above the waist and stand in front of the mammography machine. The technician will place your breast between two plates. The plates compress the breast to spread out the tissue for a few seconds while the X-ray is taken. These steps are then repeated for any additional X-rays of each breast.